CHARLES ANTHONY CAVALLO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

CHARLES ANTHONY

Last Name

CAVALLO

Suffix

Business Name

CHARLES ANTHONY CAVALLO MD

Original Issue Date

01/09/2008

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

AURORA

State

Zip

60506

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/05/2020